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Ann Thorac Surg 1995;59:761-763
© 1995 The Society of Thoracic Surgeons

Case Reports

Aortic Dissection Repair With GRF Glue Complicated by Heart Block

Ulrich O. Von Oppell, FCS(SA), PhD, David Chimuka, FCS(SA), Johan G. Brink, FCS(SA), Peter Zilla, MD, PhD

Department of Cardiothoracic Surgery, University of Cape Town, Cape Town, South Africa

Accepted for publication September 9, 1994.

Gelatin-resorcin-formaldehyde-glutaraldehyde (GRF) biologic glue is an available adjunct to repair acute ascending aortic dissections. Permanent complete heart block complicated the operative repair of 2 of 6 patients. The pathophysiology of heart block resulting from either the acute dissecting process or the technique of applying GRF glue is discussed.




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